Take a few minutes out of your holiday for a dental check up at TotalMED Subic Ambulatory and Multispecialty Center. Standards are excellent, costs are low and staff is friendly. What more could you want?

• A simple process to take the "NEW YOU" to a new life.
• Make a decision to take the "NEW YOU" into reality.
• Look smart & confident to take the "NEW YOU" back home.

Welcome to the TotalMED Subic Dental Center. We have a dedicated team of internationally trained dentists covering general, cosmetic and specific treatments.

The TotalMED Subic Dental Center is fully equipped with the most up to date equipment and a complete international highly accepted sterilization process that exceeds international standards.

The cost of dental treatment here, for exceptionally good work, is competitively priced even by Thai standards. A quick calculation into your own currency shows the real saving. Clients find that their all-in cost (airfares, accommodation and treatment) lower than the treatment-only cost in their home country. That's amazing.

Laser Dentistry: Enhancing Dental Treatment with Lasers

Laser dentistry can be a precise, relatively pain free and effective way to perform many dental procedures.

Anxious dental patients seeking extreme safety and comfort might consider looking for  dental clinics which have incorporated laser dentistry techniques into their practices and treatments. Essencia Totalmed  is one of a very few dental clinics in the Philippines using Dental Lasers.

Benefits of Laser Dentistry

• Procedures performed using soft tissue dental lasers may not require sutures (stitches).
• Certain laser dentistry procedures do not require anesthesia.
• Laser dentistry minimizes bleeding because the high-energy light beam aids in the clotting (coagulation) of exposed blood vessels, thus inhibiting blood loss.
• Bacterial infections are minimized because the high-energy beam sterilizes the area being worked on.
• Damage to surrounding tissue is minimized.
• Wounds heal faster and tissues can be regenerated.

Application of Laser Dentistry

Hard Tissue (Tooth) Laser Dentistry Procedures

• Cavity Detector: Low intensity soft tissue dental lasers may be used for the early detection of cavities by providing a reading of the by-products produced by tooth decay.
• Tooth Preparation: Hard tissue dental lasers may eliminate the need for a local anesthetic injection and the traditional turbine dental drill. Lasers used in dental filling procedures are capable of killing bacteria located in a cavity, potentially leading to improved long term. However, dental lasers are not appropriate for the replacement of amalgam fillings, onlays or crowns.
• Dental lasers may be used to seal tubules (located on the root of the tooth) that are responsible for hot and cold tooth sensitivity.

Soft Tissue (Gum) Laser Dentistry Procedures

• Crown Lengthening: Dental lasers can reshape gum tissue (soft tissue laser) and bone (hard tissue laser) to expose healthier tooth structure. Referred to as crown lengthening, such reshaping provides a stronger foundation for the placement of restorations.
• Gummy Smile: Dental lasers can reshape gum tissue to expose healthy tooth structure and improve the appearance of a gummy smile.
• Muscle Attachment (Frenula): A laser frenectomy is an ideal treatment option for children who are tongue tied (restricted or tight frenulum) and babies unable to breast feed adequately due to limited tongue movement. A laser frenectomy may also help to eliminate speech impediments.
• Soft Tissue Folds (Epulis): Dental lasers may be used for the painless and suture-free removal of soft tissue folds often caused by ill-fitting dentures.

Other Laser Dentistry Applications

• Viewing Tooth and Gum Tissues: Optical Coherence Tomography is a safer way to see inside tooth and gums in real time.
• Benign Tumors: Dental lasers may be used for the painless and suture-free removal of benign tumors from the gums, palate, sides of cheeks and lips.
• Cold Sores: Low intensity dental lasers reduce pain associated with cold sores and minimize healing time.
• Nerve Regeneration: Photobiomodulation can be used to regenerate damaged nerves, blood vessels and scars.
• Sleep Apnea: In cases where sleep apnea is a result of a tissue overgrowth in areas of the throat (which sometimes occurs with age), a laser assisted uvuloplasty or laser assisted uvula palatoplasty (LAUP) procedure can be performed to reshape the throat and relieve the correlating breathing problems associated with sleep apnea.
• Teeth Whitening: Low intensity soft tissue dental lasers may be used to speed up the bleaching process associated with teeth whitening.
• Temporomandibular Joint Treatment: Dental lasers may be used to quickly reduce pain and inflammation of the temporomandibular jaw joint.

Dental treatments in Subic Dental Center
The TotalMed Subic Dental Center earned acceptance and loyalty from local, expats, and other visitors as the specialists in:

• Tooth Straightening
• Tooth Replacement / Implant
• Root Canal Treatment
• Oral Surgery
• Implants
• Gum Diseases
• Dentistry for Children
• Cosmetic Dentistry
• BriteSmile Tooth Whitening

Other Dental Treatment
They offer the best value " 6C's " to our clients the moment they approach us.

Communication: don't wait to contact us. Plan your trip and email your profile to us. We'll reply within 24 hours with all the details.

Convenience: Take a seat and RELAX before getting in the dentist's chair for a few minutes. Our lobby area is spacious, clean and full of facilities, TV, newspapers and magazines.

Comfort: You will feel natural from the very first moment.

Cleanliness: This is of the highest priority. Everything from the surgery to equipment & materials used are thoroughly sterilized. There is no room for any margin of error so you leave with great teeth, not an infection...

Confidence: Smile with CONFIDENCE!. Take the "NEW YOU" back home.

Care: The dental team will take great care of you. Feel like a VIP from step 1.

Inlay and onlay
Inlay or onlay is often used to repair the damage that involve over the biting surface of a tooth rather than using simple filling or crown. Inlay or onlay can be porcelain, gold, or composite resin cast sections that are bonded to the damaged area of a tooth.

Inlay is similar to the fillings and lie inside the cusp tips of the tooth; onlay is a more extensive reconstruction that covers one or more cusps of a tooth.
We use gold or Empress porcelain inlays/onlays.

Porcelain is now becoming the material of choice because of its strength and potential to match the natural color of your tooth.

Duration: 1-2 weeks
Number of visits: 2-3 visits

Dental Veneer
Dental veneer is a thin covering of porcelain or composite over the enamel of a tooth.
Veneers are common for teeth that are too small, too big, or have uneven surfaces. It is very useful for people to have cosmetic improvements (i.e.: shade, shape, lip support, cheek support, etc.).

Veneers are recommended for imperfect teeth, either oddly shaped teeth, some malpositioned teeth, chipped teeth, crooked teeth, teeth with small holes in them, or an inappropriate sized tooth. Veneers solve such irregularities and create a durable and pleasing smile.

We use Empress type of all-ceramic veneer which is long lasting and has high aesthetic value. It is also hardly distinguishable from natural dentition. Also you can select the desired level of teeth colour as you wish.

Duration: 1-2 weeks
Number of visits: 2-3 visits

BriteSmile Tooth Whitening
BriteSmile is the best way to safely whiten your teeth with the most advanced technology available in tooth whitening today.

The BriteSmile Whitening System
BriteSmile has revolutionized tooth whitening with the state-of-the-art technology that is safe and effective. BriteSmile is gentle. There's no laser, no heat, and no scraping. Our whitening system uses only two simple elements: gel and light.

The BriteSmile Light
The patented BriteSmile light is not a laser. It's a specially designed lamp that shines a gentle, blue light on your teeth. It works in tandem with our proprietary whitening gel to accelerate the whitening process. This light has been clinically proven safe for tooth enamel as well as skin, gums, and other soft tissues. It emits virtually no heat and no harmful UV (ultraviolet) light. Our lamps are uniquely shaped to illuminate and whiten all "smile line" teeth (top and bottom) at the same time, ensuring natural and uniform results.

The BriteSmile Whitening Gel
The BriteSmile light is used in combination with our patented whitening gel, which has been optimized for patient safety and maximum results. While other whitening gels contain as much as 35%-50% hydrogen peroxide, BriteSmile's proprietary gel contains only 15% peroxide and is buffered at a near-neutral pH value that is compatible with tooth enamel. The gel also contains other ingredients such as glycerin and highly purified water to prevent tooth dehydration and to further ensure safety. The gel is specifically engineered to respond to the blue wavelengths of our light system. When the light illuminates the gel, it activates and safely accelerates the whitening process, achieving amazing results in just one hour.
The BriteSmile teeth-whitening system is protected by numerous patents and therefore only available at BriteSmile whitening spas and the dental offices of trained BriteSmile professionals.

Suitability of Your Case for Laser Tooth Whitening:
Your suitability as a viable candidate for tooth whitening will be determined during the consultation and oral examination process. Not all people are qualified candidates for the procedure. If Laser Tooth Whitening is deemed not appropriate for you, other appropriate treatment options will be proposed.

Treatment Expectation upon Completion:
Significant whitening can be achieved in most cases, but the level of whiteness achieved varies for each patient. People with yellowish brown teeth tend to whiten faster and more fully than people with grayish to grayish brown shaded teeth. There is no definitive way to predict how light your teeth will become. Your dentist will provide you with guidance as to the level of whiteness your individual situation may achieve.

Alternative Treatment Options:
While the laser tooth whitening is by far the fastest, most effective means (both in terms of results and speed) for most people to whiten their teeth, there are other options available to you for whitening teeth especially for people with dark grey or dark brown color teeth.
These options are:

Porcelain/Composite Veneers
Porcelain Crown
Combination with Gel/Tray System

Dentures
Dentures are removable appliances that are used to replace missing teeth.
Normally they are made of acrylic resin but can also be incorporated into metal or porcelain for additional structural support.
There are two main types of dentures: Complete/Full Dentures and Partial Dentures. Full dentures are used to replace the upper and lower arches while no teeth remain.

Dentures aid patients in chewing food, smiling, swallowing, restoring esthetics, supporting facial soft tissues, cheeks and lips. It also helps to reestablish the vertical dimension of the patient’s bite which is the distance between the chin and nose. In addition dentures rid you of pronunciation problems caused by missing teeth.

Duration: approx: 4 weeks
Number of visits: 5-6 visits

Dental implant / Tooth Implant

Dental implants are a recent technology used for replacing missing teeth with a most natural look.
The dental implant is a titanium screw that is surgically placed in the jaw. This implant eventually fuses with the bone around the jaw about two to six months after surgery. These implants can then be used to anchor crowns, bridges and dentures.
As the illustration to the left shows, the dental implant goes into the jaw exactly like a natural tooth root.

Dental crowns can be made to cover the implant post. Many people who have implants for a comfortable and cosmetic fit use porcelain fused to gold crowns.

This is the "high tech" solution and the most natural replacement to replace the lost tooth/teeth without harming the remaining teeth and soft tissue.

Patients can receive several benefits from doing the dental implant. Ideal results include restoration of normal appearance of the missing tooth/teeth. Patients can achieve considerable confidence during eating and talking. Also patients can enjoy the long term safety of replacing their lost teeth with dental implant.

Range of solutions: Preoperative evaluation

Dental implant is not suitable for everyone. Patients are evaluated at a consultation appointment with respect to their jaw size, bone volume, quality and quantity of bone, also the condition of the opposing dentition. The anatomy of the front of the lower jaw is studied by using x-rays taken at varying angles. This evaluation is to ensure suitability for the tooth implant as the components for the treatment are all precision made prefabricated components. Therefore the size and shape of the jaw must comply with established criteria.

Treatment procedures

The first step is the placement of titanium implants to replace the lost teeth. These implants will remain covered underneath the gum for approximately 3-6 months for lower teeth and 6 months for upper teeth. During this time, the implants should fuse to the bone.

The second step of the procedure involves uncovering the implants and attaching a post to each implant. This completes the foundation on which the new teeth will be placed. In some instances, the surgeon may decide to place the posts at the time of surgery.

The final step is the placement of new teeth by the dentist. With techniques that ensure optimal size, shape, colour and fit, the replacement teeth should blend with the patient’s facial characteristics while providing support needed for natural appearance.

Implant FAQ (Frequently Asked Questions)

What causes tooth discoloration?
There are many causes. The most common include aging, consumption of coffee, tea, colas and smoking.

Why bleach your teeth?
Whitening has increased in popularity in recent years as yellowed teeth are becoming less and less acceptable, both socially and professionally.Many people do it to boost their self image and self esteem. People are drawn to your smile. A whiter grin can give you extra confidence or boost those first impressions.

Does it work on Caps, Crowns, Veneers, Non-vital tooth?
Caps, crowns, veneers and non-vital tooth cannot be whitened by laser. Therefore, they must be matched to the shade of your teeth after whitening. Previous white fillings in front teeth may need to be redone.

How long will it last?
Non-smokers who don’t drink coffee or tea often see little or no change for up to five years. But your own long-term results will depend on your habits and the specific foods you eat. Based on those variables, some patients may require a "touch-up" treatment at regular intervals.

Is there any discomfort?
There is little, if any. Less than 10% of patients might feel an increased sensitivity to cold, heat, or pressure during the whitening process. Sensitivity ends a day or two after the treatment is completed.

Will whitening damage my teeth?
Not at all. The whitening process will not effect your enamel, tooth structure, bonding or restorations. Whitening acts only on the molecules that carry the discoloration.

What should I do after Laser Tooth Whitening?
Tooth colour will continue to get lighter for about one week after treatment.
Avoid smoking, drinking tea, coffee or red wine within the first 48 hours for the best result.
Tooth sensitivity can be subsided by mild analgesic.
A gradual darkening of teeth may happen as time passes. This will depend on personal habits and diet such as smoking, drinking coffee, tea or red wine etc. Proper oral hygiene care can generally avoid diminished whitening results.

Who can benefit from Dental Implants?
Those people who have missing teeth from decay, disease or injury may be ideal candidates for implants. A qualified dentist prior to the procedure for any contraindications should evaluate those interested.

Are there any age-related problems?
Generally if you are healthy enough to have teeth extracted you are likely able to have implants. Your dentist will evaluate you to determine if any rare chronic diseases will prevent you from having implants.

How will the new teeth look?
With professional and modern techniques, customers are very satisfied with the comfortable fit, natural look and ease of use with dental implants.

Are their advantages to implants over bridges and crowns?
• Enhanced look: Dental implants can improve facial appearance. They stop the process of jawbone and facial shrinkage caused by missing teeth.
• Maintained natural teeth: Traditional bridge and denture construction requires healthy adjacent teeth for anchoring points. Implants often eliminate the need to change healthy teeth.
• Permanent solution: No worries about loose dentures or bridgework coming apart. Normally implants last a lifetime.

How much do implants cost?
The number of teeth replaced and the number of implants required are factors that affect costs for dental implants. In addition, if procedures are required to support implants, this may increase fees as well. A dental surgeon can give you a good estimate of costs after a complete examination.

How will dental implants affect my life?
Your dental implants look, feel and work like your natural teeth. You will be able to eat, drink as before. You may have improved confidence and self-esteem as a result of your improved look.

Will I be able to chew the same?
Yes. After a brief adaptation period, your ability to chew is the same as it was.

How much time is required for an implant placement?
The time factor can vary according to the treatment options, number of teeth replaced, implants required and overall health of the patient. There are 2 procedures now for implants. The traditional treatment is done in two sessions separated by a 3-month healing period. A new single session approach is suitable for many patients and cuts the time factor considerably. Your dentist will assist in determining the proper procedure option.

Will the procedure be painful?
As with most surgeries, some patients may have pain. Sedation and anesthesia will make the procedure itself comfortable for you. Many are surprised at how the procedure was less painful than anticipated. The dentist can prescribe medicine to relieve discomfort following the procedure. You may ask the dentist to refer you to someone who had the procedure for his or her personal feedback.

How will I feel after the treatment?
Normally there is a small amount of bruising and swelling that is usually relieved with medication. Most patients are able to work the next day.

How will I care for my implants?
Care of your implants is the same as for your natural teeth. Daily brushing and flossing followed by regular 6-month dental visits are the best routine.

Crown / Bridge

Placing an crown is common for broken, brittle or severely decayed tooth.

Dental bridge is an artificial tooth which is fused between two porcelain crowns to fill in the area left by a missing tooth. This method is very common for replacing one or more missing teeth. Bridges are permanently fixed in your mouth so you cannot take it out of your mouth. Placing crown or bridge
is very reliable to solve severe dental problems to permanently restore the missing tooth/teeth, functional and aesthetic appearance. We use porcelain crowns and bridges that closely blend into the surrounding natural teeth.

Duration: 1-2 weeks
Number of visits: 2-3 visits

Tooth Coloured Fillings

Tooth coloured fillings can be used to repair problems with either front orback teeth. Most of the materials for these white fillings are made of resin.

In front teeth, these fillings are used to repair dental decay, erosion or abrasion problems. In back teeth, white fillings can be used to repair small decay or erosion problems, or replace the silver fillings to looks just as if the tooth had no filling at all. For more severe problems, these fillings may not be the best solution, and we may need to use porcelain veneers, ceramic inlays, crowns and bridges. These fillings can sometimes be used to repair “sensitive” teeth.

Braces

Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and treatment of problems in the alignment of teeth and jaws.

The technical term for these problems is malocclusion, which means bad bite.

Common problems include teeth crowding, protruding of upper teeth, spacing, open bite, deep overbite, cross bit and lower jaw protrusion.

These problems can be solved by the use of corrective appliances such as braces, plates, headgears, functional appliances and retaining appliances.

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